Reactive arthritis diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

Reactive arthritis is diagnosed based on the clinical presentation with supporting laboratory evidence. The gold standard for diagnosis of reactive arthritis include spondyloarthritis and clear evidence of preceding infection by culture (or polymerase chain reaction [PCR]).

Diagnosis

• Reactive arthritis is diagnosed based on the clinical presentation with supporting laboratory evidence.
• The gold standard for diagnosis of reactive arthritis include spondyloarthritis and clear evidence of preceding infection by culture (or polymerase chain reaction [PCR]).
• The diagnosis of reactive arthritis is made in the presence of any one of the following conditions:
  • Symptoms such as asymmetric oligoarthritis (especially lower extremities), enthesitis, extra-articular signs in the presence of established preceding infection with Chlamydia, Salmonella, Yersinia, Shigella, or Campylobacter
  • Symptoms such as asymmetric oligoarthritis (especially lower extremities), enthesitis, extra-articular signs in the presence of diarrhea or cervicitis within the last 6 weeks period.
  • Any acute inflammatory arthritis in the presence of established preceding infection with Chlamydia, Salmonella, Yersinia, Shigella, or Campylobacter.